Trial Outcomes & Findings for The Immunogenicity of Simultaneous Administration of Quadrivalent Influenza Vaccine and 23-valent Pneumococcal Vaccine (NCT NCT02592486)

NCT ID: NCT02592486

Last Updated: 2019-01-31

Results Overview

The primary endpoint was the number of patients with positive antibody responses (≥2-fold increase in IgG concentrations 4-6 weeks after PPSV23 vaccination) in serotype 23F of the pneumococcal antibody.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

162 participants

Primary outcome timeframe

1month after the dose of PPV23

Results posted on

2019-01-31

Participant Flow

Participant milestones

Participant milestones
Measure
Simultaneous Administration Group
The subjects receive injections of pneumococcal vaccine and influenza vaccine simultaneously. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016 season. Simultaneous administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine and influenza vaccine simultaneously.
Sequential Administration Group
The subjects receive injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016. Sequential administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine.
Overall Study
STARTED
81
81
Overall Study
COMPLETED
81
76
Overall Study
NOT COMPLETED
0
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Immunogenicity of Simultaneous Administration of Quadrivalent Influenza Vaccine and 23-valent Pneumococcal Vaccine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Simultaneous Administration Group
n=81 Participants
The subjects receive injections of pneumococcal vaccine and influenza vaccine simultaneously. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016 season. Simultaneous administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine and influenza vaccine simultaneously.
Sequential Administration Group
n=80 Participants
The subjects receive injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016. Sequential administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine.
Total
n=161 Participants
Total of all reporting groups
Age, Continuous
71.0 years
STANDARD_DEVIATION 5.1 • n=5 Participants
70.2 years
STANDARD_DEVIATION 4.1 • n=7 Participants
70.6 years
STANDARD_DEVIATION 4.6 • n=5 Participants
Sex: Female, Male
Female
33 Participants
n=5 Participants
31 Participants
n=7 Participants
64 Participants
n=5 Participants
Sex: Female, Male
Male
48 Participants
n=5 Participants
49 Participants
n=7 Participants
97 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 1month after the dose of PPV23

Population: In the sequential group, 5 patients were excluded from primary analysis because of the reasons below. 1 patient: eligibility error, 1 patient: lost to follow-up (patient's decision), 3 patient: discontinued intervention (1 patient: fever, 2 patients: patient's decision

The primary endpoint was the number of patients with positive antibody responses (≥2-fold increase in IgG concentrations 4-6 weeks after PPSV23 vaccination) in serotype 23F of the pneumococcal antibody.

Outcome measures

Outcome measures
Measure
Simultaneous Administration Group
n=81 Participants
The subjects receive injections of pneumococcal vaccine and influenza vaccine simultaneously. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016 season. Simultaneous administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine and influenza vaccine simultaneously.
Sequential Administration Group
n=76 Participants
The subjects receive injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016. Sequential administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine.
The Number of Patients With Positive Antibody Response in Serotype 23F of Pneumococcal Antibody.
63 Participants
59 Participants

SECONDARY outcome

Timeframe: 4 to 6 weeks after vaccination (P1), 24 weeks to 27 weeks after vaccination (P2)

Population: Immunogenicity was assessed in patients who received the allocated intervention (i.e., received at least 1 dose of the study vaccine), and had a blood sample taken within the planned time period.intervention (1 patient: fever, 2 patients: patient's decision

Positive antibody response was defined as ≥2-fold increase in IgG concentrations 4-6 weeks after PPSV23 vaccination in respective serotypes of the pneumococcal antibody.

Outcome measures

Outcome measures
Measure
Simultaneous Administration Group
n=81 Participants
The subjects receive injections of pneumococcal vaccine and influenza vaccine simultaneously. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016 season. Simultaneous administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine and influenza vaccine simultaneously.
Sequential Administration Group
n=76 Participants
The subjects receive injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016. Sequential administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine.
The Number of Patients With Positive Antibody Response in Serotype 3, 4, 6B, 1 4 and 19A of Pneumococcal Antibody.
4-6 weeks after vaccination 3
56 Participants
52 Participants
The Number of Patients With Positive Antibody Response in Serotype 3, 4, 6B, 1 4 and 19A of Pneumococcal Antibody.
4-6 weeks after vaccination 4
54 Participants
66 Participants
The Number of Patients With Positive Antibody Response in Serotype 3, 4, 6B, 1 4 and 19A of Pneumococcal Antibody.
4-6 weeks after vaccination 6B
59 Participants
63 Participants
The Number of Patients With Positive Antibody Response in Serotype 3, 4, 6B, 1 4 and 19A of Pneumococcal Antibody.
4-6 weeks after vaccination 14
49 Participants
67 Participants
The Number of Patients With Positive Antibody Response in Serotype 3, 4, 6B, 1 4 and 19A of Pneumococcal Antibody.
4-6 weeks after vaccination 19A
61 Participants
59 Participants
The Number of Patients With Positive Antibody Response in Serotype 3, 4, 6B, 1 4 and 19A of Pneumococcal Antibody.
24-27 weeks after vaccination 3
59 Participants
51 Participants
The Number of Patients With Positive Antibody Response in Serotype 3, 4, 6B, 1 4 and 19A of Pneumococcal Antibody.
24-27 weeks after vaccination 4
58 Participants
67 Participants
The Number of Patients With Positive Antibody Response in Serotype 3, 4, 6B, 1 4 and 19A of Pneumococcal Antibody.
24-27 weeks after vaccination 6B
66 Participants
63 Participants
The Number of Patients With Positive Antibody Response in Serotype 3, 4, 6B, 1 4 and 19A of Pneumococcal Antibody.
24-27 weeks after vaccination 14
59 Participants
66 Participants
The Number of Patients With Positive Antibody Response in Serotype 3, 4, 6B, 1 4 and 19A of Pneumococcal Antibody.
24-27 weeks after vaccination 19A
67 Participants
63 Participants

SECONDARY outcome

Timeframe: Before vaccination (at baseline; in designated P0), 4 to 6 weeks after vaccination (P1), 24 weeks to 27 weeks after vaccination (P2)

Population: Immunogenicity was assessed in patients who received the allocated intervention (i.e., received at least 1 dose of the study vaccine), and had a blood sample taken within the planned time period.

Pneumococcal IgG concentrations were converted using natural log transformations and presented as a geometric mean concentration.

Outcome measures

Outcome measures
Measure
Simultaneous Administration Group
n=81 Participants
The subjects receive injections of pneumococcal vaccine and influenza vaccine simultaneously. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016 season. Simultaneous administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine and influenza vaccine simultaneously.
Sequential Administration Group
n=76 Participants
The subjects receive injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016. Sequential administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine.
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
Before vaccination 23F
0.40 micrograms per milliliter
Interval 0.3 to 0.55
0.20 micrograms per milliliter
Interval 0.15 to 0.26
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
Before vaccination 3
0.07 micrograms per milliliter
Interval 0.06 to 0.09
0.07 micrograms per milliliter
Interval 0.06 to 0.08
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
Before vaccination 4
0.08 micrograms per milliliter
Interval 0.06 to 0.1
0.05 micrograms per milliliter
Interval 0.04 to 0.06
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
Before vaccination 6B
0.24 micrograms per milliliter
Interval 0.18 to 0.31
0.14 micrograms per milliliter
Interval 0.11 to 0.18
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
Before vaccination 14
0.68 micrograms per milliliter
Interval 0.5 to 0.92
0.42 micrograms per milliliter
Interval 0.32 to 0.57
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
Before vaccination 19A
0.72 micrograms per milliliter
Interval 0.55 to 0.94
0.49 micrograms per milliliter
Interval 0.38 to 0.64
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
4-6 weeks after vaccination 23F
2.04 micrograms per milliliter
Interval 1.42 to 2.94
1.41 micrograms per milliliter
Interval 0.98 to 2.04
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
4-6 weeks after vaccination 3
0.24 micrograms per milliliter
Interval 0.19 to 0.31
0.21 micrograms per milliliter
Interval 0.17 to 0.27
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
4-6 weeks after vaccination 4
0.24 micrograms per milliliter
Interval 0.18 to 0.33
0.28 micrograms per milliliter
Interval 0.2 to 0.39
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
4-6 weeks after vaccination 6B
0.96 micrograms per milliliter
Interval 0.69 to 1.32
0.96 micrograms per milliliter
Interval 0.67 to 1.37
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
4-6 weeks after vaccination 14
2.78 micrograms per milliliter
Interval 1.84 to 4.19
4.72 micrograms per milliliter
Interval 3.14 to 7.09
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
4-6 weeks after vaccination 19A
3.74 micrograms per milliliter
Interval 2.69 to 5.19
2.92 micrograms per milliliter
Interval 1.98 to 4.23
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
24-27 weeks after vaccination 23F
2.12 micrograms per milliliter
Interval 1.58 to 2.86
1.70 micrograms per milliliter
Interval 1.18 to 2.46
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
24-27 weeks after vaccination 3
0.26 micrograms per milliliter
Interval 0.21 to 0.34
0.24 micrograms per milliliter
Interval 0.19 to 0.31
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
24-27 weeks after vaccination 4
0.30 micrograms per milliliter
Interval 0.22 to 0.41
0.36 micrograms per milliliter
Interval 0.27 to 0.48
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
24-27 weeks after vaccination 6B
1.18 micrograms per milliliter
Interval 0.88 to 1.57
1.29 micrograms per milliliter
Interval 0.91 to 1.82
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
24-27 weeks after vaccination 14
3.57 micrograms per milliliter
Interval 2.42 to 5.27
6.21 micrograms per milliliter
Interval 4.23 to 9.13
The Geometric Mean Concentrations of Specific Antibodies to the 6 Serotypes (23F, 3, 4, 6B 14 and 19A)
24-27 weeks after vaccination 19A
4.61 micrograms per milliliter
Interval 3.47 to 6.11
3.38 micrograms per milliliter
Interval 2.47 to 4.63

SECONDARY outcome

Timeframe: 4 to 6 weeks after vaccination (I1) and 24 weeks to 27 weeks after vaccination (I2)

Population: Immunogenicity was assessed in patients who received the allocated intervention (i.e., received at least 1 dose of the study vaccine), and had a blood sample taken within the planned time period.

Seroprotection rates (post-vaccination titer ≥1:40) were calculated to assess the immunogenicity of influenza vaccination.

Outcome measures

Outcome measures
Measure
Simultaneous Administration Group
n=81 Participants
The subjects receive injections of pneumococcal vaccine and influenza vaccine simultaneously. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016 season. Simultaneous administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine and influenza vaccine simultaneously.
Sequential Administration Group
n=77 Participants
The subjects receive injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016. Sequential administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine.
The Number of Patients With Seroprotection Rate in Quadrivalent Influenza Vaccine.
4 to 6 weeks after vaccination : H1N1
68 Participants
60 Participants
The Number of Patients With Seroprotection Rate in Quadrivalent Influenza Vaccine.
4 to 6 weeks after vaccination : H3N2
66 Participants
68 Participants
The Number of Patients With Seroprotection Rate in Quadrivalent Influenza Vaccine.
4 to 6 weeks after vaccination : B texas
33 Participants
45 Participants
The Number of Patients With Seroprotection Rate in Quadrivalent Influenza Vaccine.
4 to 6 weeks after vaccination : B Phuket
49 Participants
48 Participants
The Number of Patients With Seroprotection Rate in Quadrivalent Influenza Vaccine.
24 weeks to 27 weeks after vaccination : H1N1
41 Participants
46 Participants
The Number of Patients With Seroprotection Rate in Quadrivalent Influenza Vaccine.
24 weeks to 27 weeks after vaccination : H3N2
47 Participants
44 Participants
The Number of Patients With Seroprotection Rate in Quadrivalent Influenza Vaccine.
24 weeks to 27 weeks after vaccination : B texas
18 Participants
11 Participants
The Number of Patients With Seroprotection Rate in Quadrivalent Influenza Vaccine.
24 weeks to 27 weeks after vaccination : B Phuket
24 Participants
16 Participants

Adverse Events

Simultaneous Administration Group

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Sequential Administration Group

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Simultaneous Administration Group
n=81 participants at risk
The subjects receive injections of pneumococcal vaccine and influenza vaccine simultaneously. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016 season. Simultaneous administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine and influenza vaccine simultaneously.
Sequential Administration Group
n=79 participants at risk;n=80 participants at risk
The subjects receive injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine. We use commercially available PPV23 (Pneumovax NP®, MSDKK, Tokyo, Japan) containing 25 μg each of 23 capsular polysaccharide types. We use Fluvic HA syringe® (Handai Biken Ltd, Osaka, Japan), quadrivalent influenza vaccine (0.5ml) of 2015/2016. Sequential administration of Pneumovax NP® and Fluvic HA syringe®: Injections of pneumococcal vaccine 2 weeks after the injection of the influenza vaccine.
General disorders
Fatigue
11.1%
9/81 • Local reactions at the injection site as well as systemic reactions were monitored for 28 days in the group that received the simultaneous administration, and for 14 days after each injection in the sequential group.
The population in which safety was assessed consisted of participants who received a minimum of 1 dose of the vaccine. In the sequential group, 2 patients were excluded from the evaluation of adverse events because of the reasons below.1 patient: eligibility error, 1 patient: discontinued intervention (patient's decision) Regarding pain of axilla (evaluated only patients who received pneumococcal vaccine), additional 2 patients were excluded because they did not receive pneumococcal vaccine.
24.1%
19/79 • Local reactions at the injection site as well as systemic reactions were monitored for 28 days in the group that received the simultaneous administration, and for 14 days after each injection in the sequential group.
The population in which safety was assessed consisted of participants who received a minimum of 1 dose of the vaccine. In the sequential group, 2 patients were excluded from the evaluation of adverse events because of the reasons below.1 patient: eligibility error, 1 patient: discontinued intervention (patient's decision) Regarding pain of axilla (evaluated only patients who received pneumococcal vaccine), additional 2 patients were excluded because they did not receive pneumococcal vaccine.
Skin and subcutaneous tissue disorders
Joint pain
13.6%
11/81 • Local reactions at the injection site as well as systemic reactions were monitored for 28 days in the group that received the simultaneous administration, and for 14 days after each injection in the sequential group.
The population in which safety was assessed consisted of participants who received a minimum of 1 dose of the vaccine. In the sequential group, 2 patients were excluded from the evaluation of adverse events because of the reasons below.1 patient: eligibility error, 1 patient: discontinued intervention (patient's decision) Regarding pain of axilla (evaluated only patients who received pneumococcal vaccine), additional 2 patients were excluded because they did not receive pneumococcal vaccine.
13.9%
11/79 • Local reactions at the injection site as well as systemic reactions were monitored for 28 days in the group that received the simultaneous administration, and for 14 days after each injection in the sequential group.
The population in which safety was assessed consisted of participants who received a minimum of 1 dose of the vaccine. In the sequential group, 2 patients were excluded from the evaluation of adverse events because of the reasons below.1 patient: eligibility error, 1 patient: discontinued intervention (patient's decision) Regarding pain of axilla (evaluated only patients who received pneumococcal vaccine), additional 2 patients were excluded because they did not receive pneumococcal vaccine.
Skin and subcutaneous tissue disorders
Pain of axilla
4.9%
4/81 • Local reactions at the injection site as well as systemic reactions were monitored for 28 days in the group that received the simultaneous administration, and for 14 days after each injection in the sequential group.
The population in which safety was assessed consisted of participants who received a minimum of 1 dose of the vaccine. In the sequential group, 2 patients were excluded from the evaluation of adverse events because of the reasons below.1 patient: eligibility error, 1 patient: discontinued intervention (patient's decision) Regarding pain of axilla (evaluated only patients who received pneumococcal vaccine), additional 2 patients were excluded because they did not receive pneumococcal vaccine.
5.2%
4/77 • Local reactions at the injection site as well as systemic reactions were monitored for 28 days in the group that received the simultaneous administration, and for 14 days after each injection in the sequential group.
The population in which safety was assessed consisted of participants who received a minimum of 1 dose of the vaccine. In the sequential group, 2 patients were excluded from the evaluation of adverse events because of the reasons below.1 patient: eligibility error, 1 patient: discontinued intervention (patient's decision) Regarding pain of axilla (evaluated only patients who received pneumococcal vaccine), additional 2 patients were excluded because they did not receive pneumococcal vaccine.

Additional Information

Kei Nakashima, Associate Chief

Department of Pulmonary Medicine, Kameda Medical Center

Phone: 81-4-7092-2211

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place